Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,297.15 / $5,624.18 / $5,624.18	Facility		$5,297.15	$5,624.18	$5,624.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,644.37 / $3,643.25 / $5,558.46	Professional		$2,644.37	$3,643.25	$5,558.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $7,497.68	Facility		$3,790.37	$3,790.37	$7,497.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,790.37 / $7,784.25 / $9,730.31	Professional		$3,790.37	$7,784.25	$9,730.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,378.92 / $6,816.07 / $7,933.42	Professional		$6,378.92	$6,816.07	$7,933.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,346.72 / $8,860.89 / $32,412.74	Facility		$4,346.72	$8,860.89	$32,412.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,258.52 / $4,227.39 / $9,312.74	Professional		$3,258.52	$4,227.39	$9,312.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,475.74 / $7,497.68 / $9,215.12	Facility		$7,475.74	$7,497.68	$9,215.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,206.30 / $8,758.31 / $14,327.91	Professional		$6,206.30	$8,758.31	$14,327.91
United Facility/Professional Professional Modifier Low / Median / High Price $3,258.52 / $3,513.81 / $8,729.04	Professional		$3,258.52	$3,513.81	$8,729.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,679.75 / $6,679.75 / $6,679.75	Facility		$6,679.75	$6,679.75	$6,679.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,277.00 / $6,679.75 / $6,679.75	Professional		$5,277.00	$6,679.75	$6,679.75